CPT® Code 83026

Official Description

Hemoglobin; by copper sulfate method, non-automated

Common Language Description

The CPT® Code 83026 refers to a laboratory test that measures hemoglobin levels using the copper sulfate method in a non-automated setting. Hemoglobin is a vital protein found in red blood cells (RBCs) that plays a crucial role in transporting oxygen throughout the body. This specific test is primarily utilized to quickly assess whether an individual's hemoglobin concentration is above or below the threshold of 12.5 grams per deciliter (g/dl). The non-automated copper sulfate method is particularly significant in blood donation scenarios, where it serves as a preliminary screening tool to determine donor eligibility. The procedure involves obtaining a small blood sample through a fingerstick, which is then collected in a capillary tube. The blood droplet is subsequently immersed in a copper sulfate solution contained within a clear test tube. The behavior of the blood droplet in the solution provides immediate insight into the hemoglobin level: if the droplet sinks rapidly, it suggests that the hemoglobin concentration is greater than 12.5 g/dl, indicating that the individual is likely eligible to donate blood. Conversely, if the droplet either floats or sinks slowly, this may suggest a hemoglobin level below the acceptable threshold, prompting the need for a more precise and separately reportable test to confirm the individual's hemoglobin status.

1. Indications

The hemoglobin test using the copper sulfate method is indicated for the following conditions:

Blood Donation Screening This test is primarily performed to determine if an individual meets the minimum hemoglobin level required for blood donation, which is set at 12.5 g/dl.

2. Procedure

The procedure for the hemoglobin test by the copper sulfate method involves several key steps:

Step 1: Blood Sample Collection A small blood sample is obtained from the donor through a fingerstick. This method is minimally invasive and allows for quick collection of a blood droplet.
Step 2: Preparation of the Test The collected blood droplet is then placed into a capillary tube, which is designed to hold the small volume of blood necessary for the test.
Step 3: Immersion in Copper Sulfate Solution The capillary tube containing the blood droplet is subsequently immersed in a clear test tube filled with copper sulfate solution. This solution is specifically formulated to react with the hemoglobin present in the blood sample.
Step 4: Observation of Results The behavior of the blood droplet in the copper sulfate solution is observed. If the droplet sinks quickly, it indicates that the hemoglobin level is greater than 12.5 g/dl, suggesting that the individual is eligible to donate blood. Conversely, if the droplet floats or sinks slowly, it may indicate a hemoglobin level below 12.5 g/dl, necessitating further testing.

3. Post-Procedure

After the hemoglobin test is completed, the individual may receive immediate feedback regarding their eligibility to donate blood based on the test results. If the hemoglobin level is found to be below the acceptable threshold, the individual may be advised to undergo a more precise and separately reportable test to accurately assess their hemoglobin concentration. It is important for individuals to be aware of their hemoglobin levels, as this can impact their overall health and ability to participate in blood donation programs.

Short Descr	HEMOGLOBIN COPPER SULFATE
Medium Descr	HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED
Long Descr	Hemoglobin; by copper sulfate method, non-automated
Status Code	Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
CLIA Waived (QW)	No
APC Status Indicator	Conditionally packaged laboratory tests
Type of Service (TOS)	5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS)	T1H - Lab tests - other (non-Medicare fee schedule)
MUE	1
CCS Clinical Classification	233 - Laboratory - Chemistry and Hematology

GA	Waiver of liability statement issued as required by payer policy, individual case
GC	This service has been performed in part by a resident under the direction of a teaching physician
GW	Service not related to the hospice patient's terminal condition
QW	Clia waived test